| Richard Mark Styczynski, MD | |
|
1300 W 2nd St, Rock Falls, IL 61071-1005 | |
| (815) 626-2230 | |
| Not Available |
| Full Name | Richard Mark Styczynski |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1300 W 2nd St, Rock Falls, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245329366 | NPI | - | NPPES |
| 110069191 | Other | RAILROAD MEDICARE | |
| 036060697 | Medicaid | IL | |
| 011550 | Other | IL | HEALTH ALLIANCE MEDICAL |
| 9815737 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036060697 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036060697 (Illinois) | Primary |
| Entity Name | Cgh Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Mark Styczynski, MD 101 E Miller Rd, Sterling, IL 61081-1252 Ph: (815) 625-4790 | Richard Mark Styczynski, MD 1300 W 2nd St, Rock Falls, IL 61071-1005 Ph: (815) 626-2230 |
Parveen K Varma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 | |
Dr. Denice Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 2nd St, Rock Falls, IL 61071 Phone: 815-626-2230 Fax: 815-626-2231 | |
Susan Provow, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 W 1st St, Rock Falls, IL 61071 Phone: 815-625-4790 |